Strut Health review
The lowest true entry cost on this board — $99/month sublingual semaglutide — and the only place selling the same molecule as a lozenge or an injection at one price.
- Semaglutide
- From $99/mo sublingual, $149/mo injectable
- Tirzepatide
- From $199/mo either route
- Coverage
- 49 states (not Arkansas)
- Brand-name
- Compounded only
Semaglutide · modeled / year
$1,188
Tirzepatide · modeled / year
$2,388
The Index scorecard
Strut Health scored on our six Cost-Efficiency Index factors. See the methodology.
Where the value is
- Cheapest disclosed monthly cost here at $99/mo for sublingual semaglutide; tirzepatide $199 either route
- Sublingual lozenges for both molecules at the same price as the injection
- Free physician visit, free shipping and free follow-up care included rather than billed separately
- Cancel, pause or delay yourself with 48 hours' notice before processing
The tradeoffs
- The $99 and $149 headline figures require auto-refill — a one-off order costs more, so the true cost depends on staying subscribed
- Asynchronous by design: their FAQ notes some states need no phone consultation, so you may never speak to the prescriber
- Compounded only, with no brand-name route and no published lab programme
- Not available in Arkansas
The bottom line
Best for: Anyone optimising total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle. The lowest true entry cost on this board — $99/month sublingual semaglutide — and the only place selling the same molecule as a lozenge or an injection at one price.
Ranked #5 of 31 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.
Compare with other providers
All 30 other providers we've modeled, in Cost-Efficiency Index order.
- #2Invigor Medical— Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog.88/100
- #3Ondra Health— A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it.90/100
- #4ShedRx (Shed)— The widest set of formats on the board — injection, drops, lozenges and a daily oral pill, plus a real brand Zepbound route — though its cheapest advertised rates need a year-long commitment.87/100
- #6Breeze Meds— The most transparent operator in our partner tier — all-50 compounded GLP-1 with NPI-verifiable named physicians, named pharmacies and LegitScript backing, so you can actually audit who's behind the script.86/100
- #7Sesame Care— The widest real brand-name GLP-1 access on the board — a LegitScript- and BBB-recognized national marketplace running since 2018 that dispenses FDA-approved Wegovy, Zepbound, Ozempic, Mounjaro and Rybelsus, not compounded copies.86/100
- #8Eden— You pay a premium per month, but you buy back certainty: all-50 access and high-disclosure clinical oversight that hold their value.86/100
Every other program we track (24)
- #1 CoreAge Rx94
- #9 Found88
- #10 Sprout Health85
- #11 Trimi Health85
- #12 Vitara RX87
- #13 NewSelf87
- #14 Gimme Care87
- #15 Precision Telemed87
- #16 Effecty86
- #17 Kongo86
- #18 Curex85
- #19 AgelessRx85
- #20 PepHaūs85
- #21 Alan Meds84
- #22 bmiMD84
- #23 Ro84
- #24 Hims & Hers83
- #25 Care Bare Rx80
- #26 Live Vital82
- #27 Piper82
- #28 Henry Meds81
- #29 NP2GO79
- #30 Primary Clinic (Direct GLP)77
- #31 Synergy Rx71
Pricing, states and verification reflect Strut Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Strut Health's site. Not medical advice; see our disclosure.